ATLS POST TEST 80 - |ALREADY GRADED A+ Your patient is a 32 year ol...

ATLS POST TEST 80

QUESTIONS AND CORRECT (VERIFIED ANSWERS)

|ALREADY GRADED A+

Your patient is a 32 year old man, restrained driver of a vehicle that has been involved in a frontal impact with a concrete bridge abutment. The patient is awake, but has difficulty answering questions due to shortness of breath. His ventilatory rate is 30 per minute. Of the following choices, when is the first time the patient's breath sounds should be checked?

• As soon as he is removed from the vehicle
• Prior to being removed from the vehicle
• As soon as he is immobilized on a long backboard
• Enroute to the trauma center
• Prior to being removed from the vehicle

Which of the following represents adequate spontaneous ventilation in an adult?

• Tidal volume 100 mL, ventilatory rate 40/minute B.

Tidal volume 500 mL, ventilatory rate 8/minute

• Tidal volume 300 mL, ventilatory rate 16/minute
• Tidal volume 600 mL, ventilatory rate 12/minute
• Tidal volume 600 mL, ventilatory rate 12/minute

Which of the following is 100% accurate in verifying endotracheal tube placement?

• Pulse oximetry
• End-tidal capnometry
• Syringe aspiration
• None of the above
• None of the above....(added info by ang: to verify you need breath sounds, condensation in the tube

and a confirmatory CXR)

When utilizing percutaneous transtracheal ventilation, the correct ration of lung inflation to lung inflation

time, in seconds, is:

A. 1:4

B. 1:5

C. 1:2

D. 2:2

A. 1:4 1 / 3

Which of the following is a possible complication of using a manually triggered oxygen powered device for ventilation? A. Gastric distention

• Pneumothorax
• Inability to feel lung compliance
• All of the above
• All of the above

Which of the following procedures is considered an essential airway skill?

• Needle cricothyroidotomy
• Endotracheal intubation
• Insertion of an oropharyngeal airway
• Retrograde endotracheal intubation
• Insertion of an oropharyngeal airway

Pericardial tamponade is most likely to occur in which of the following situations?

• Stab wound to the chest
• Fall from a height
• Frontal impact vehicle crash
• Gunshot wound to the chest
• Stab wound to the chest

Which of the following is the preferred site for needle decompression of a tension pneumothorax?

• 4th intercostal space, midclavicular line, just over the top of the 5th rib
• 4th intercostal space, midclavicular line, just below the 4th rib
• 2nd intercostal space, midclavicular line, just over top of the 3rd rib D. 2nd intercostal space,

midclavicular line, just below the 2nd rib

• 2nd intercostal space, midclavicular line, just over top of the 3rd rib

Which of the following behaviors is the most reliable indication of confusion in the elderly trauma patient?

• Inability to recall his/her name
• Inability to recall the day of the week
• Inability to identify his/her present location when out of his/her normal residence 2 / 3

• Focus on repeated retelling of events that occurred years ago
• Inability to recall his/her name

In the elderly trauma patient a high index of suspicion for shock should occur beginning when the

systolic blood pressure is less than:

• 90 mmHg
• 150 mmHg C. 120 mmHg D. 100 mmHg
• 120 mmHg

In an adult patient, blood loss into the tissue from a fractured femur may be as much as which of the following?

• 150 to 500 mL
• 500 to 1000 mL
• 1000 2000 mL
• 2500 to 5000 mL
• 1000 2000 mL

Delayed death due to trauma is usually a result of:

• Biochemical and pathophysiological effects of inadequate initial resuscitation
• Acute circulatory failure
• Brain injury
• Acute hypoxia
• Biochemical and pathophysiological effects of inadequate initial resuscitation

A regional resource center with a full spectrum of trauma services from prevention to rehabilitation

which serves as the leader in trauma care for a geographical region is a:

• Level IV trauma center
• Level III trauma center
• Level II trauma center
• Level I trauma center
• Level I trauma center

Which of the following patients is not indicated for spinal immobilization?

• Intoxicated patient in a MVC
• Patient who fell 8 feet and lost consciousness
• / 3